Ray G Enneking in Grass Valley - General Practice

Ray G Enneking - NPI 1073664314

Ray G Enneking is a General Practice in Grass Valley, California. Ray G Enneking practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ray G Enneking is 1073664314. The last update date is 2007-07-08.

Ray G Enneking's current location address is 316 S Auburn St Ste 5, Grass Valley, California. You can contact this provider via phone number 5302740920 and fax number 5302748935. The mailing address for Ray G Enneking is 316 S Auburn St Ste 5, Grass Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ray G Enneking
Address 316 S Auburn St Ste 5, Grass Valley, California
Phone Number 5302740920
Fax Number 5302748935
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1073664314
Provider Enumeration Date 2007-01-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 316 S Auburn St Ste 5
City Grass Valley
State California (CA)
Post Code 959457298
Phone Number 5302740920
Fax Number 5302748935

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 18545
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Ray G Enneking

What is the unique 10-digit identification code assigned to Ray G Enneking by the Centers for Medicare & Medicaid Services?

The Ray G Enneking has been issued the NPI (National Provider Identifier) 1073664314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Ray G Enneking is geographically located?

The Ray G Enneking is physically situated at the following location: 316 S Auburn St Ste 5, Grass Valley, CA, 959457298.

What is the area of specialization for Ray G Enneking, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ray G Enneking is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073664314 to Ray G Enneking?

The Centers for Medicare & Medicaid Services originally issued the 1073664314 to Ray G Enneking on 2007-01-15.

As of what date were the details pertaining to Ray G Enneking last refreshed?

The information related to the Ray G Enneking, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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